Surg Neurol
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The authors describe their surgical experience of a hydatid cyst in the brainstem, which is an unusual site. The cyst was internally decompressed and totally excised. Although the Dowling technique has been described to be the ideal method for removal of hydatid cysts, it may not be possible when the cyst is in a deep-seated, vital, and eloquent location. We report the use of internal decompression by aspiration followed by total excision as an alternative method when the cyst is located in vital areas of the brain. ⋯ Hydatid cyst is a benign lesion. Appropriate management is mandatory for reducing the morbidity. Although the Dowling technique with its modifications is appropriate for cerebral parenchymal surfacing or superficial hydatid cysts, in deep-seated cysts located in eloquent and vital areas such as the brainstem, management by internal decompression by aspiration followed by extirpation of the cyst wall, protecting the surrounding cisterns and CSF spaces, is an alternative option.
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Biography Historical Article
The first Anatolian contribution to treatment of sciatica by Serefeddin Sabuncuoglu in the 15th century.
Serefeddin Sabuncuoglu was an early 15th century surgeon in Anatolia. His masterpiece entitled Cerrahiyetül Haniye (Imperial Surgery) is the first illustrated surgical textbook in the Turkish Islamic literature of the Ottoman era Anatolia. It is the first written medical-surgical work in Anatolian history and it covers the treatment of more than 40 illnesses, which range from hydrocephalus to sciatica. This study aims to investigate the contribution of Anatolia to neurosurgery through Sabuncuoglu's treatment of sciatica, a problematic and common illness.
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Case Reports
Chordoid glioma with calcification and neurofilament expression: case report and review of the literature.
Chordoid glioma of the third ventricle is a rare type of brain tumor that was recently categorized as a novel tumor entity. Despite low-grade histologic features, the clinical outcome in reported cases was poor. ⋯ Chordoid glioma is considered a glial neoplasm with distinct morphological and clinicopathologic features, but there may also be other unknown characteristics because of its rarity. To the best of our knowledge, this is the second reported case of CG with calcification and, at the same time, the second case with NFP expression in the English literature. Calcification and expression of NFP should not exclude CG in the differential diagnosis of a third ventricular tumor. The authors also suggest that the combination of microsurgery and GKRS is a safe and effective treatment strategy for CG.
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This was a retrospective study of clinical results for single-segment posterolateral lumbar fusion using local autograft bone with bone expander. ⋯ Using local laminectomy bone with calcium sulfate as bone graft is a practical option in posterolateral lumbar fusion with the advantages of less operative time, less blood loss, and avoidance of donor site morbidity.